Patient Safety
Conference 2015

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Programme Outline

Day One/27 May

9:00 – 9:15
OPENING ADDRESS

9:15 – 10:00
KEYNOTE ADDRESS

Datuk Jeyaindran Tan Sri Sinnadurai
Deputy Director-General (Medical)
Ministry of Health, Malaysia



10:00 – 10:45
THE DEVELOPMENT OF AN INTERNAL PATIENT SAFETY POLICY

Making the Safety of Patients Work for your Facility

Policies are put into place as guidelines to ensure systems are run effectively and efficiently on a national level, which the intention of having these policies adopted in each facility. However, there is always the argument that no two facilities can be run in the exact same manner incorporating the exact policies stated on a national level. This topic addresses this issue, and how each facility and even departments can look into developing and following a patient safety policy that works for them, without having to veer away from the crux of the national policies.

Dr. Chong Su Lin
Chief Executive Officer
Prince Court Medical Centre




11:00 – 11:45
MOTHERS, BABIES AND THE WORLD OF HEALTHCARE
Medication and Treatment Safety for Pregnant & Nursing Mothers

There is a wealth of information on do's and don'ts for pregnancies and babies out there, from specialised books to websites to seminars and even on supplement packaging; yet, there are those that decide to take away only what suits them from this. This is a special group of pregnant mothers and new mothers who are avid self medicators, whether via mainstream or alternative treatments and products. It is this special group that choose to take warning notices very lightly, either from the inability to comprehend or the cavalier way they have absorbed the information. Either way, at scheduled appointments with their obstetricians & gynaecologists, any adverse reactions are spotted or emergency situations arise and it is then the responsibility of the specialist to solve their crisis. Listen to some recommendations on how to handle these special group, as well as clearly defined lines on what types of medication and treatment; whether mainstream or alternative; are considered safe, unsafe or risky.

Prof. Dato' Dr. Ravindran Jegasothy
Dean, Faculty of Medicine
MAHSA University



11:45 - 12:30
ANTIBIOTIC RESISTANCE
A Growing Phenomenon in Healthcare

Given current prescribing practices, the lack of new antibiotic development and the speed with which pathogens are developing resistance to certain drugs, a scenario in which antibiotics are rendered useless may be sooner than many realise. For so long society has leaned on antibiotics as a go-to fix, regardless of whether they could actually cure the ailment at hand. Doctors have also adopted a preemptive, precautionary attitude, prescribing antibiotics to protect themselves in the event a patient does develop an infection. Antimicrobial stewardship programs can play a key role in transforming antibiotic prescribing practices to reduce both the use of antibiotics and pathogens' ability to develop resistance to such organisms.

Datuk Dr. Christopher Lee
Senior Consultant Physician & Infectious Diseases Consultant
Head of Medical Department
Hospital Sungai Buloh



2:00 – 3:15
PANEL DISCUSSION
PATIENT ENGAGEMENT AND COMMUNICATION SKILLS:
Getting the Patient to be a Part of the Patient Safety Process

Busy environments limit the time spent with each patient, generally having a consultation straight to the point and addressing the pertinent issues. This applies to the doctor, nurses, pharmacists and clinical support staff. Most patients will complete their medical visit understanding what is wrong with them and what they need to do or consume as a solution, but additional information beyond that may not be shared due to time constraints. There can be a way for an integration of sharing additional information with a patient despite only have a limited amount of contact time with them - for all sectors in healthcare.

Moderator
Tan Sri Dr. Mohd Ismail Merican

Angela Siew May Lee
Senior Manager, Surgical & Daycare Services
Prince Court Medical Centre

Dato' Dr. Halili b. Rahmat (invited)
Neurosurgeon
Subang Jaya Medical Centre



3:30 - 4:45
PANEL DISCUSSION
DISPENSING MEDICATION TO PATIENTS: IS THERE A NEED FOR A CHANGE?

There is ongoing debate currently on the pros and cons of changing an established practice. Which method can assure medication safety and quality as well as consumer confidence and preference.



Moderator
Tan Sri Dr. Mohd Ismail Merican

Dr. Milton Lum Siew Wah
Director, Medical Defence Malaysia Berhad
Consultant, O&G

Dato' Dr. Jacob George (invited)
President
Consumer Association of Subang & Shah Alam, Selangor (CASSA)

Mr. John C P Chang
Former President
Malaysian Pharmaceutical Society


Day Two/28 May

 

9:00 – 9:45
HANDOFF COMMUNICATIONS

The Adverse Effects of Poor Communication

Poor handoff communications, or communications through a third party, results in errors, both minor and major, which may result in increased lengths of stay and increased costs. According to The Joint Commission, handoff communication has often been the leading root cause of malpractice lawsuits since the organisation began collecting the data in the mid 90s. Improving communication may require better structures for information transfer, according to several recent studies. Good communication has been linked to strong safety cultures and good workplace relationships, so investing in a safety culture in addition to standardising ways and means of transferring all medically necessary information between relevant parties is a vital step in making sure doctors can clearly say what a patient needs for treatment.

Dr. G. R. Letchumanan
Senior Consultant Physician
Hospital Taiping


9:45 – 10:30
HAND HYGIENE

The Oft Overlooked Line Of Defense

This first line of defense against infections remains one of the most overlooked. Despite the relative easiness of washing hands, hand hygiene compliance rates simply remain too low. There are well documented ties to patient safety and hand hygiene, yet compliance is still rather low. An example of this is the rather small amount of healthcare workers that clean their hands each time they enter and leave patient rooms. In a busy environment time is a luxury, yet in the long run such a simple activity could be the make or break factor in patient recovery and spread of infection.


Assof. Prof Dr. Sasheela Ponnampalavanar
Infectious Disease Specialist
Universiti Malaya Medical Centre


 


11:00 – 12:15
BRANDED VS GENERIC

The Differences Between Branded Medication & Generic Medication
Through The Eyes of Your Patient

Healthcare in Malaysia is heavily subsidised with citizens paying RM1 for a basic visit to a Primary Care doctor with medication. Bearing this in mind, it is only economically viable to subsidise healthcare for a nation's populace where certain choices have to be made. One of these choices is to offer generic medication in the place of those that are produced from the large pharmaceutical giants; the branded medication. Many argue the content gives a similar desired effect whether generic or branded, and for those situations that there is no generic substitute, the branded medication is used. In summary, the driving factor here is lower costs for the same perceived effect. On the other end of the spectrum, private medical providers do not issue subsidies and the choice between generic and branded medication is solely at the discretion of the doctor and the patient, usually ending with branded medication being dispensed. A patient is a patient nonetheless, irrespective of whether they are being treated in a government or non-government facility, and it is this patient that may not understand the similarities and differences between generic and branded medication. Notions of lower standards, diminished effectiveness, and the likes will surface, irrespective of the reality. What is the real story behind branded vs generic, and how should this be communicated most effectively to patients.

Dr. L. Sanker
Consultant, Gastroenterologist
KPJ Selangor Specialist Hospital

Dr. Paras Doshi
Acute Medicine Physician
Hospital Kuala Lumpur



12:15 – 1:00
ELECTRONIC MEDICAL DEVICES & PATIENT SAFETY

Provision of Incident Reporting Under the Act 737

It is always the easiest option to put the blame solely on human errors when any mistakes are made, but what about manufacturer related errors and device use errors in relation to electronic medical devices. Should it still be the sole responsibility of the person operating the device to take the blame first, or should there be further investigation. How can such errors be avoided in the course of daily work, especially in facilities where there is very heavy patient traffic. How can incident reports and medical device reports assist in this matter? How can existing systems be refined and enhanced?


Zamane Abdul Rahman
Chief Executive
Medical Device Authority, Malaysia



2:00 – 2:45
HIGH ALERT MEDICAL SAFETY

Inculcation of Best Practices in Everyday Work

High alert medication or high hazard medication is literally as it's name - medication that can potentially be hazardous to health. Ultimately any medication can cause harm to a patient, but high alert medication cause harm more commonly and lead to more serious effects, in turn bringing on additional costs to remedy a situation that could have been avoided. There are known safe practices that are used to reduce the potential for harm, but in precarious situations the chances of unintended actions are heightened. This session will recap the high alert medication categories and how to improve the management of the medication, as well as the sharing of best practices.

 

Ms. Abida Haq Binti Syed M. Haq
Director, Pharmacy Practice & Development
Ministry of Health


3:15 – 4:30

PANEL DISCUSSION
MEDICAL MANAGEMENT AND PATIENT ADVISEMENT
AFTER A NATURAL DISASTER

A Look at How We Handled the Worst Floods in Malaysian History

When faced with a natural disaster, many protocols that have been put into place are put in action. Checklists, coordination, communication, and of course treatment and assistance are foremost in each person's mind when given a disaster scenario. In the wake of the disaster proper, it's not always as methodical and apparent as preparing for it. Listen to some medical practitioners in the field share their experiences when faced with one of the worst floods in Malaysian history.



Moderator
Dr. Milton Lum Siew Wah


Dato' Dr. Hj. Bahari Dato' Tok Muda Hj. Awang
Hospital Director
Hospital Temerloh, Pahang

Dr. Hj. Selasawati Hj. Ghazali
Deputy Medical Director
Hospital Raja Perempuan Zainab, Kelantan

Dr. Abdul Rahim Abdullah
Hospital Director
Hospital Sultanah Nur Zahirah, Terengganu

 

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